Individual provider Active NPI

Kent L Wellish, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1952358426
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7032 Issued in NV
Practice address
2110 E Flamingo Rd
#210
Las Vegas, NV 89119-5190
Phone
(702) 733-2020
Fax
(702) 794-2797
NPI assigned
May 28, 2006
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7032 NV Primary
Ophthalmology Physician 207W00000X G74385 CA
Ophthalmology Physician 207W00000X 21433 AZ

Addresses

Primary practice location

2110 E Flamingo Rd
#210
Las Vegas, NV 89119-5190

Mailing address

2110 E Flamingo Rd
#210
Las Vegas, NV 89119-5190
Phone (702) 733-2020

Other identifiers 2

IdentifierTypeStateIssuer
002019599MedicaidNV
180023250OtherNVRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000638 NV Practitioner - Ophthalmology 9234135948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of NevadaGroup PAC ID 6002894680, 8 clinicians

Practice addresses (Care Compare)

10424 S Eastern Ave
Suite 100
Henderson, NV 89052-4293
Phone (702) 733-2020

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
92.96
Promoting interoperability
97
Improvement activities
40
Cost
68.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7032NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Nevada Ophthalmology CurrentSince Mar 9, 2003 Accepting new patients
Box Canyon Surgery Center LLC Past Accepting new patients

Locations

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

2555 Box Canyon Dr
Las Vegas, NV 89128
Phone (702) 316-4400

6710 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 733-2020

1141 S Nevada Highway 160
Pahrump, NV 89048
Phone (702) 733-2020

Interoperability endpoints

  • Direct secure messaging: kent.wellish.p28@direct.avp.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1952358426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD",
            "address_2": "#210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-733-2020",
            "fax_number": "702-794-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD",
            "address_2": "#210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-733-2020",
            "fax_number": "702-794-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLISH",
        "first_name": "KENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "7032",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G74385",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "21433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019599",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180023250",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.